CMSRN CERTIFIED NURSE UPDATED ACTUAL EXAM QUESTIONS CORRECT ANSWERS
GRADED A PLUS
Cmsrn Certified Nurse Practice Evaluation
2026/2027 Questions and Answers Verified Solutions
Latest Update
Question:
All of the following are components of the Planning, Implementation and Outcomes domain of the
nursing practice according to the ANCC except: a. nursing care planning b. therapeutic
communication c. patient safety measures d. patient teaching.
Answer:
b. therapeutic communication
Question:
Which nursing theorist describes the following five levels of nursing experience: novice, advanced
beginner, competent, proficient and expert? a. Patricia Benner b. Kurt Lewin c. Madeleine Leininger
d. Dorothea Orem.
Answer:
a. Patricia Benner Benner described five levels of nursing experience and developed exemplars and
paradigm cases to illustrate each level. Lewin described the "Change Management Model" of
unfreezing, changing and freezing. Leininger's theory is also called transcultural nursing. This
theory attempts to provide culturally congruent nursing care through "cognitively based assistive,
supportive, facilitative or enabling acts or decisions that are mostly tailor-made to fit with
individual, group's or institution's cultural values, beliefs and lifeways."
Question:
Which of the following findings is a characteristic of a patient with unstable angina? a. "My chest
pain goes away when I rest." b. "I sometimes experience chest pain at rest." c. "Nitroglycerin always
relieves my chest pain." d. "The chest pain only occurs when I walk too fast.".
Answer:
b. "I sometimes experience chest pain at rest."
,Question:
Which ECG finding would indicate the most unstable condition? a. inverted T wave b. ST-segment
depression c. ST-segment elevation d. Q wave.
Answer:
c. ST-segment elevation
Question:
Which of the following would be a symptom of worsening heart failure (HF)? a. dyspnea and
crackles on auscultation b. clear lung sounds and 1+ edema of the legs c. resolution of chest pain d. a
brain natriuretic peptide (BNP) of 80.
Answer:
a. dyspnea and crackles on auscultation
Question:
You are caring for a patient with newly diagnosed systolic heart failure (HF). He states that he has a
slight limitation in physical activity. He says that he is comfortable when he is resting, but he
becomes short of breath and fatigued with ordinary physical activity. Based on the New York Heart
Association (NYHA) Functional Classification, which stage of HF is he in? a. Stage I b. Stage II c.
Stage III d. Stage IV.
Answer:
b. Stage II
Question:
The nurse is providing education to a patient about modifiable risk factors for hypertension. Which
of the following is a modifiable risk factor? a. age b. ethnicity c. genetics d. obesity.
Answer:
d. obesity
Question:
, A patient is being discharged with a prescription for amlodipine besylate. Which of the following
should be included in the discharge education about this medication? a. The medication may cause
bradycardia. b. The medication may cause a drop in blood pressure (BP). c. The medication cannot
cause angina. d. The medication is contraindicated while taking sublingual nitroglycerin.
Answer:
b. The medication may cause a drop in blood pressure (BP).
Question:
The nurse is caring for a patient who has recently been started on lisinopril therapy. Which of the
following symptoms, if noticed, would be a priority for the nurse to report immediately to the
provider? a. dizziness when first standing up b. trouble sleeping c. constipation d. swelling of the
lips.
Answer:
d. swelling of the lips
Question:
Your male patient, 40, is admitted following blunt chest trauma. Other than myocardia bruising, he
has no other obvious injuries The nurse assesses distended neck veins and muffled heart sounds. The
patient's blood pressure (BP) is 80/55. Which of the following has most likely developed? a. cardiac
tamponade b. abdominal aortic aneurysm c. cardiopulmonary arrest d. cardiogenic shock.
Answer:
a. cardiac tamponade Cardinal signs of cardia tamponade include muffled heart sounds, hypotension
and neck vein distension, otherwise known as Beck's triad.
Question:
The nurse is administering a calcium channel blocker to a patient diagnosed with a myocardial
infarction (MI). Which assessment finding would cause the nurse to question administering the
medication? a. The patient's apical pulse is 64. b. The patient's calcium level is elevated c. The
patient's telemetry shows occasional premature ventricular contractions (PVCs). d. The patient's
blood pressure (BP) is 90/62.
Answer:
GRADED A PLUS
Cmsrn Certified Nurse Practice Evaluation
2026/2027 Questions and Answers Verified Solutions
Latest Update
Question:
All of the following are components of the Planning, Implementation and Outcomes domain of the
nursing practice according to the ANCC except: a. nursing care planning b. therapeutic
communication c. patient safety measures d. patient teaching.
Answer:
b. therapeutic communication
Question:
Which nursing theorist describes the following five levels of nursing experience: novice, advanced
beginner, competent, proficient and expert? a. Patricia Benner b. Kurt Lewin c. Madeleine Leininger
d. Dorothea Orem.
Answer:
a. Patricia Benner Benner described five levels of nursing experience and developed exemplars and
paradigm cases to illustrate each level. Lewin described the "Change Management Model" of
unfreezing, changing and freezing. Leininger's theory is also called transcultural nursing. This
theory attempts to provide culturally congruent nursing care through "cognitively based assistive,
supportive, facilitative or enabling acts or decisions that are mostly tailor-made to fit with
individual, group's or institution's cultural values, beliefs and lifeways."
Question:
Which of the following findings is a characteristic of a patient with unstable angina? a. "My chest
pain goes away when I rest." b. "I sometimes experience chest pain at rest." c. "Nitroglycerin always
relieves my chest pain." d. "The chest pain only occurs when I walk too fast.".
Answer:
b. "I sometimes experience chest pain at rest."
,Question:
Which ECG finding would indicate the most unstable condition? a. inverted T wave b. ST-segment
depression c. ST-segment elevation d. Q wave.
Answer:
c. ST-segment elevation
Question:
Which of the following would be a symptom of worsening heart failure (HF)? a. dyspnea and
crackles on auscultation b. clear lung sounds and 1+ edema of the legs c. resolution of chest pain d. a
brain natriuretic peptide (BNP) of 80.
Answer:
a. dyspnea and crackles on auscultation
Question:
You are caring for a patient with newly diagnosed systolic heart failure (HF). He states that he has a
slight limitation in physical activity. He says that he is comfortable when he is resting, but he
becomes short of breath and fatigued with ordinary physical activity. Based on the New York Heart
Association (NYHA) Functional Classification, which stage of HF is he in? a. Stage I b. Stage II c.
Stage III d. Stage IV.
Answer:
b. Stage II
Question:
The nurse is providing education to a patient about modifiable risk factors for hypertension. Which
of the following is a modifiable risk factor? a. age b. ethnicity c. genetics d. obesity.
Answer:
d. obesity
Question:
, A patient is being discharged with a prescription for amlodipine besylate. Which of the following
should be included in the discharge education about this medication? a. The medication may cause
bradycardia. b. The medication may cause a drop in blood pressure (BP). c. The medication cannot
cause angina. d. The medication is contraindicated while taking sublingual nitroglycerin.
Answer:
b. The medication may cause a drop in blood pressure (BP).
Question:
The nurse is caring for a patient who has recently been started on lisinopril therapy. Which of the
following symptoms, if noticed, would be a priority for the nurse to report immediately to the
provider? a. dizziness when first standing up b. trouble sleeping c. constipation d. swelling of the
lips.
Answer:
d. swelling of the lips
Question:
Your male patient, 40, is admitted following blunt chest trauma. Other than myocardia bruising, he
has no other obvious injuries The nurse assesses distended neck veins and muffled heart sounds. The
patient's blood pressure (BP) is 80/55. Which of the following has most likely developed? a. cardiac
tamponade b. abdominal aortic aneurysm c. cardiopulmonary arrest d. cardiogenic shock.
Answer:
a. cardiac tamponade Cardinal signs of cardia tamponade include muffled heart sounds, hypotension
and neck vein distension, otherwise known as Beck's triad.
Question:
The nurse is administering a calcium channel blocker to a patient diagnosed with a myocardial
infarction (MI). Which assessment finding would cause the nurse to question administering the
medication? a. The patient's apical pulse is 64. b. The patient's calcium level is elevated c. The
patient's telemetry shows occasional premature ventricular contractions (PVCs). d. The patient's
blood pressure (BP) is 90/62.
Answer:
